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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />Account ID <br />Facility ID <br />Date Printed <br />[ <br />AR0051996 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />FA0027119 <br />5/10/2023 <br />MOORE, ANGELIQUE <br />ANGIE'S KITCHEN <br />3914 TRO PAZ LN <br />TRACY, CA 95377 <br />RE: ANGIE'S KITCHEN <br />3914 TROPAZ LN <br />TRACY, CA 95377 <br />OWNER: MOORE, R ANGELIQUE <br />Date Health <br />Program Description Amount <br />Invoice # IN0378325 --- Date of Invoice: 3/7/2023 <br /> <br />1111111111111111111111 1111111 1111111 1 11111 VIII 11111 111 1111111 1111 11111111101111 1111 <br />3/7/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> PRO547636 <br /> 186.00 <br />Total for this Invoice <br />Payment Due Date 4/30/2023 <br />ATTENTION <br />YOUR HEALTH PERMIT <br />FOR THE CURRENT YEAR <br />MAY NOT BE ISSUED UNTIL <br />PAST DUE AMOUNTS ARE <br />PAID IN FULL <br />PAST DUE! <br />WE WOULD APPRECIATE YOUR <br />PAYMENT TODAY! <br /> <br />TOTAL DUE this Billing Period' $ 186.00 <br /> <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. YOU <br />NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br />CFO PRODUCTS. CFO RENEWAL FORM HERE: <br />https://www.sjgov.org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-permittin <br />a-renewal-form. pdf?sfvrsn=d950fb44_5 <https://gcc02.safelinks.protection.outlook.com/? <br />url=https%3A%2F%2Fwww.sjgov.org%2Fdocs%2Fdefault-source2Fenvironmental-health-documents%2Ffood-and-resta <br />urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44_5&data=05%7C01%7Cjsalwolke%4 0sjg <br />ov.org%7C0d058e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d860a54960a7c7e51%7C0%7C0%7C63801816164 <br />0113088%7CU nknown%7CTWFpbGZsb3 d8eyJWIjoiMC4wLjAwMDAiLCJOIjoiV2 luMzIiLCJBTiI6IklhaWw iLCJXVCI <br />6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tygqQ4bBY12ImMj7b53zI\lcmtPtD%2FYTA%3D&reserved= <br />0> <br />You can return by mail to our department at the address on the top of your invoice or email completed forms and <br />11 01 in -57/S 3 <br />Corr 41 fil 5--b-77c1/7 <br />186.00